AMANDA JO BUSKEVICIUS (NPI# 1336450899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336450899 |
| Entity Type | Individual |
| Full Name | AMANDA JO BUSKEVICIUS |
| Credential | M.D. |
| Practice Address |
11946 Standing Stone Dr Gretna NE 68028-8094 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4028154500 |
| Practice Fax Number | 4028154510 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2016-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 27851 | NE | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 6350 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026301600 | 05 | |
| NE | 10026480100 | 05 | |
| NE | 47068731799 | 05 | |
| IA | 1336450899 | 05 |
| Street Address |
11946 STANDING STONE DR |
| City | GRETNA |
| State | NE |
| Zip Code | 68028-8094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962516450 | Laura L Anderson | Nurse Practitioner | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2006-08-19 |
| 1134583024 | Priscilla Soth Lacroix | Pediatrics | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2016-04-07 |
| 1952787152 | Lexi Toft | Nurse Practitioner | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2015-08-11 |
| 1902246747 | Emily K Bendlin | Pediatrics | 11946 Standing Stone Dr, Gretna, NE 68028 | 2013-06-25 |
| 1568617504 | Sirenia Knight | Nurse Practitioner | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2008-11-18 |
| 1346446234 | Ryan Bruce Isherwood | Family Medicine | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2007-06-26 |
| 1508085929 | Aimee M Probasco | Obstetrics & Gynecology | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2007-04-24 |
| 1174618730 | Katrena Lee Lacey | Internal Medicine | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407336258 | Julia Rose Smith | Speech-Language Pathologist | 700 South, Us-6, Gretna, NE 68028 | 2018-08-20 |
| 1093235012 | Harmony Rae Ames | Speech-Language Pathologist | 11705 S. 216th Street, Gretna, NE 68028 | 2017-06-21 |
| 1285003517 | Mari Monono | Speech-Language Pathologist | 11717 S. 216th St.2, Gretna, NE 68028 | 2015-09-16 |
| 1275967655 | Reichert Family Dentistry | Dentist | 11812 Standing Stone Drive, Gretna, NE 68028 | 2013-08-21 |
| 1124366851 | U-save Pharmacy Inc | Pharmacy | 611 N Highway 6, Gretna, NE 68028 | 2013-01-31 |
| 1225309115 | Gretna Volunteer Fire and Rescue Department | Ambulance | 11175 S. 204th St, Gretna, NE 68028 | 2012-01-24 |
| 1568781722 | Carrie Ann Mcgleinnaiss | Pharmacist | 11350 Wickersham Blvd, Wal-mart Pharmacy, Gretna, NE 68028 | 2010-05-26 |
| 1861657249 | Mosaic Inc | Day Training/Habilitation Specialist | 913 Village Square, Gretna, NE 68028 | 2008-07-24 |
| 1730224189 | Best In Vision | Eyewear Supplier (Equipment, not the service) | 11532 Willow Park Dr., Suite 500, Gretna, NE 68028 | 2007-02-21 |
| 1225173669 | Andria Nicole Louis | Optometrist | 11532 Willow Park Drive, Suite 500, Gretna, NE 68028 | 2007-02-21 |
| Find all providers in zip 68028 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497054399 | Jill Marissa Berger | Obstetrics & Gynecology | 120 Ochsner Blvd Ste 360, Gretna, LA 70056 | 2011-03-18 |
| 1720161839 | Daniel J. Mompoint | Obstetrics & Gynecology | 230 Meadowcrest St, Gretna, LA 70056-5246 | 2006-10-23 |
| 1124094586 | Henry L Rosenberg | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2006-02-27 |
| 1184608010 | Troy Ulrich Drewitz | Obstetrics & Gynecology | 2500 Belle Chasse Highway, Gretna, LA 70056-7172 | 2005-12-05 |
| 1194724336 | Vu Anh Vuong | Obstetrics & Gynecology | 151 Meadowcrest Street, Suite H, Gretna, LA 70056 | 2005-07-19 |
| 1336487206 | Lupin Womens Health Services, LLC | Obstetrics & Gynecology | 120 Meadowcrest St, Suite 350, Gretna, LA 70056-5255 | 2013-01-28 |
| 1932498185 | Ilsa Leon | Obstetrics & Gynecology | 515 Westbank Expy, Gretna, LA 70053-5644 | 2011-03-28 |
| 1063602506 | Jennifer L. Bigelow | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2007-07-31 |
| 1508085929 | Aimee M Probasco | Obstetrics & Gynecology | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2007-04-24 |
| 1265508410 | Mark Mclean Allen | Obstetrics & Gynecology | 515 Westbank Expressway, Suite 7, Gretna, LA 70053-5644 | 2006-11-28 |
| Find all providers in GRETNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.